NEJIA MITCHELL (NPI# 1447879614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447879614 |
| Entity Type | Individual |
| Full Name | NEJIA MITCHELL |
| Practice Address |
4104 N 63rd St Milwaukee WI 53216-1241 |
| Mailing Address |
4644 N 53rd St Milwaukee WI 53218-5011 |
| Practice Telephone | 4149882224 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | WI | Residential Treatment Facilities |
| Street Address |
4104 N 63RD ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043635923 | Divine Living Afh LLC | Assisted Living Facility | 7752 W Brentwood Ave, Milwaukee, WI 53223-6106 | 2014-02-28 |
| 1720344237 | Familylivingllc | Assisted Living Facility | 9120 N 94th St, Milwaukee, WI 53224-1705 | 2012-04-09 |
| 1194017194 | Angela Sueline Carroll | Assisted Living Facility | 6228 W Kaul Ave Apt 1, Milwaukee, WI 53218-1527 | 2011-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154789 | Mindstar Residential Community | Assisted Living Facility | 5901 W Brown Deer Rd Unit 109, Brown Deer, WI 53223-2338 | 2019-09-23 |
| 1780080473 | Burr Oak Manor, Inc. | Assisted Living Facility | 264 Walworth St, Genoa City, WI 53128-2147 | 2014-11-07 |
| 1518304104 | Springbrook Community Assisted Living Inc | Assisted Living Facility | 861 Critter Ct, Onalaska, WI 54650-8689 | 2013-05-23 |
| 1366795957 | Cornerstone Adult Family Homes | Assisted Living Facility | N3445 Como Rd Stop 7, Lake Geneva, WI 53147-2658 | 2012-10-19 |
| 1720375033 | Birch Haven Senior Living, Inc. | Assisted Living Facility | 218 22nd Ave W, Ashland, WI 54806-1021 | 2011-07-07 |
| 1922327634 | Americanway of Madison LLC | Assisted Living Facility | 734 Mesta Ln, Madison, WI 53704-7843 | 2010-05-19 |
| 1306162706 | Country Grove Home LLC | Assisted Living Facility | N11151 17th Ave, Necedah, WI 54646-7619 | 2010-04-12 |
| 1780907261 | Milestone Senior Living LLC | Assisted Living Facility | 1574 W. Broadway, Madison, WI 53713 | 2010-03-11 |
| 1972732824 | Dek Co. Inc. | Assisted Living Facility | 1217 S 118th St, West Allis, WI 53214-2132 | 2009-07-13 |
| 1881748036 | Creative Health Care Solutions, Inc. | Assisted Living Facility | 221 Eagles Cove Cir, North Prairie, WI 53153-9628 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.